Active NPI
White Sands Counseling Center
- Clinical Social Worker
- Pensacola, FL
National Provider Identifier
1952874349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- WHITE SANDS COUNSELING CENTER
- Practice address
- 9511 Holsberry Rd Ste B1
Pensacola, FL 32534-1320 - Phone
- (850) 525-2551
- NPI assigned
- Jan 8, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph R Dutra
- Title
- Partner
- Phone
- (850) 525-2551
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
9511 Holsberry Rd Ste B1
Pensacola, FL 32534-1320
Mailing address
9511 Holsberry Rd Ste B1
Pensacola, FL 32534-1320
Phone (850) 525-2551
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750722674 | Other | FL | NPI |
| HU042Y | Other | FL | MEDICARE |
| 016112400 | Medicaid | FL | |
| 08RBR | Other | FL | BCBS PROVIDER |
Other names 1
- White Sands Counseling Center
National Provider Directory
National Provider DirectoryLocations
9511 Holsberry Rd
Ste B1
Pensacola, FL 32534
Phone (850) 525-2551
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Pensacola, FL
- NPI 1245944040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589328000000",
"number": "1952874349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9511 HOLSBERRY RD STE B1",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325341320",
"telephone_number": "850-525-2551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9511 HOLSBERRY RD STE B1",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325341320",
"telephone_number": "850-525-2551"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHITE SANDS COUNSELING CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-08",
"last_updated": "2020-05-13",
"certification_date": "2020-05-13",
"status": "A",
"authorized_official_last_name": "DUTRA",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "850-525-2551"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1750722674",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "HU042Y",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016112400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER",
"identifier": "08RBR",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "White Sands Counseling Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Pensacola, FL
- Jennifer Lynn Whibbs, LMT
- Williams Whibbs, M.D.
- Rebecca Jill Whisenant, LMT, CPT
- Whispering Pines Assisted Living Facility LLC
- Sonja Martina Stefanie Whitaker, M.D., PH.D.
- White Sands Natural Health LLC
- Andrew White, OD
- Benjamin Clark White, DDS
- Benjamin Thomas White, IDHS, ACLS, PALS
- Brandon White, RBT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.